Free Survey Consent Form Template
Survey Consent Form
Please read this form and sign to give us consent to proceed with the survey.
Name
Phone Number
Purpose of the Survey
The purpose of this survey is to gather feedback and insights on, Customer Experience, Product/Service Satisfaction, and Employee Engagement.
Confidentiality & Data Protection
Your responses will be kept confidential and used solely for research purposes. Personal data will be stored securely and not shared with third parties. Results may be published in aggregate form without identifying individual participants.
Consent to Participate
By signing below, I confirm that I have read and understood this consent form. I voluntarily agree to participate in this survey.
Name:
Date:
Thank you for your submission!
We appreciate you taking the time to submit.
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